Pamela Christine McBride, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

92753 Issued in CO

Practice address

3100 North Academy Blvd
Suite 211
Colorado Springs, CO 80917-5321

Phone

(719) 440-6567

NPI assigned

Jan 11, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deltawaves.pamelamcbride@125912.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delta Waves, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Colorado Springs, CO
  • NPI 1740238427
  Medicare reassignment NPD
• Delta Waves of Woodland Park Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Pueblo, CO
  • NPI 1679892475
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1174853345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N ACADEMY BLVD",
            "address_2": "SUITE 211",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175321",
            "telephone_number": "719-440-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NORTH ACADEMY BLVD",
            "address_2": "SUITE 211",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175321",
            "telephone_number": "719-440-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "PAMELA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "92753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANP",
            "identifier": "10051",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "92753",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert E. McAtee, LMT, BCTMB
• Kaylee McAwley
• MCB Clinical Research Centers, LLC
• Jennifer J McBrayer, APRN, PNP-BC
• Ariel McBride
• Rachel McBride
• Rebecca Marie McBride, RN
• Saharra McBride
• Jared Randal McBroom, PA-C
• Brigid E McCabe, OT

• Adult Health Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Adult Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.